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Individual

DR. ANTHONY THOMAS CIMMINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
630 5TH AVE, SUITE 1804, NEW YORK, NY 10111-0100
(212) 541-6776
Mailing address
630 5TH AVE, SUITE 1804, NEW YORK, NY 10111-0100

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
026863
NY

Other

Enumeration date
06/01/2010
Last updated
06/01/2010
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